22800 76TH AVE W STE A_B'AU8. Jt8 i9+13'FIRE OREVENTIbN
III Jill �26'00 7&,'Ah'
Serving Brier, aman-a-s-, and 12425 Meridian Ave S INSPECTION REPORT
0 EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION & SHIFT'
LOCATION: 22800 76 th
Avenue W Suite A 98026
Annual 20-A
BUSINESS NAME: Vacant
PHONE:
2063642203
SCHEDULED Apr 2017
DATE DUE
MAILING
UFIR 0 591 56
ADDRESS: 22800 76th Avenue W, Suite A, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE.
EMERGENCY-1:
HOME PHONE:
'*�CURRENT
KEY ACCESS-2:
HOME PHONE:
20
CITY YES NO
EMAIL:
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FIE 4/13
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
Ist RE -INSPECTION
2rwd RE -INSPECTION
EXTENSION
j FINAL RE-INSPECTfON VIOLATIONS
DATE DUE:
GRANTED TO:
I DATE DUE:
CITED:
PERSON
PERSON
.. ......... . ............
PERSON
.............................................
CONTACTED.,
CONTACTED:
INSPECTOR:
2
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
TT NT
NUMBER:
4
CODE
6
6
2 6
2 6
DATE:
SECTION.
3 7
................
7
RETURN RECEIPT
ECEIVED
DISPOSITION:
8
4 8
DATE:
LETTER NEEDED YES 0 NO
LETTER NEEDED 0 YES 0 No
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
!NSPECTION REPORT
�UEDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
13 UNINCORPORATED
LOCATION:
22800 76 th Avenue W 98026
Annual
20-D
BUSINESS NAME:
PHONE:
SCHEDULED
Miller's Rental
2065425282
DATE DUE I' Apr 2016
MAILING
LIFIR
ADDRESS:
89056
22800 76th Avenue W, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
#-4V6651 r75-
115 - -' -S'031
EMERGENCY-1:
HOME PHONE:
ZURRE T
KEY ACCESS-2:
Mft&tlt&,-Robert-
HOME PHONE: 2065425282
CITY YES NO
BUSINESS
EMAIL:
3rl- t//75.-
LICENSE
[A
PERSON CONTACTED:
INITI A-L INSPECTION DATE
NAME OF INSPECTOR:
5 �/- /,�
FIRE PRtV'ENTION
Serving Brier, Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
Mountlake Terrace
Everett, WA 98208
DEDMONDS
0 BRIER
Phone (425) 551-1200
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-12 72:-.,;,,.
0 UNINCORPORATED
LOCATION:
.22901 Highway 99
98026
Annual
20-C
BUSINESS NAME:
PHONE:
SCHEDULED
Miller's Equipment Rental
4257780141
DATE DUE 0 Apr 2016
MAILING
UFIR
554
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
Hedges, Rick
EMERGENCY-1:
KEY ACCESS-2:
Hedges, PAton
HOME PHONE: 1-114's
4267424023
CURRENT
T
YES NO
HOME PHONE:
CITY
IT Y
EMAIL:
BUSI
BUSINESS
LIC S
LICENSE
.PERSON CONTACTED:
INITIAL INSPECTION DATE
.NAME OF INSPECTOR:
Y
FIRE SYSTEMS:
FA 7/13 FE 4/13
OY/ 3
FC 4//
16
4491RFf9@ft WW96CATIONS / COMMUNICATIONS
Pao U ?60�. F_
r-- V4
2
3
. . . . ................. . .
3
... ......... a
4
5
6
6
7
7.
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE-INSPE CTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
DATE DUE:
D-ATEDUE:
GRANTEDTO:
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
PRE -CITATION
LETTER SENT
DATE:
CITATION ISSUED
NUMBER:
Z3
'4
VIOLATIONS
J. 5
VIOLATIONS'��,��
T6
DATE:
CODE
SECTION:
RETURN RECEIPT
3
3
7
RECEIVED
DISPOSITION:
6
4?,
8
DATE:
7
LETTER NEEDED C] YES I-] NO
L; ER NEEDED C] YES NO
SNOHOMISH CO,
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:
22800 7 h Avenue W ite A 98026
BUSINESS NAME: E. Mclean Co. S2 06 3 64 2 2 0 3
MAILIN/ A/,O e el,)667f- /A)
ADDRESS: 0.9- lyn)kl�D
2280076th venue W, Suite A, Edmonds, WA 98 6
BUSINESS OWNER: 7HOME PHONE:
Macle:, Ed
Serving Brier, Edmonds, and
Mountlake Terrace
FIRE PREVENTION
INSPECTION REPORT
M,EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
r- FREQUENCY STATION & SHIFT
Ann al 9()-n
SCHEDULED
DATE DUE � Am 2016
UFIR � 591 56
.EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: clean, Edward HOME PHONE: 2065422867 CITY YES NO
BUSINESS M
EMAI LICENSE L—J
INITIAL INSPECTION DATE
PERSON CONTACTED: slely
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 4/13
'9=A0"MN6b7Xi19Q105!83ATIONS
COMMUNICATIONS
2
2
3
4
--- ---
3
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all.businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during. our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
SNO110MISH CO.
FIRE
Serving Brier, Edmonds, and
Mountlake Terrace
DISTR"JbL�uTwww.FireDistrictl.org
LOCATION:
22800 6 th A nue W Suite 8026
BUSINESS NAME:
P of Mill "s Rental
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257782057
MAILING
AD . DRESS: 22800 7 h Aven e W, Suite B, EdmondZs, /98026
J f V &0
11)6
BUSINESS OWNER: HOMR Is
Ic C
h, Jef 6
Mich ch, Jef v &&71L)6
0
A y
EMERGENCY-1: lit J ff YT OA A4 P t*0 HOME PHONE:
KEY ACCESS-2: ichlitch, Jeffrey T. HOME PHONE: 4257422839
EMAIL:
PERSON CONTACTED: JR)C/,<
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
FIRE PREVENTION
INSPECTION REPORT
KEDMONDS
RIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY STATI1 N & SHIFT
0_
Annual 720-D
SCHEDULED
DATE DUE � Apr 2016
LIFIR 0 751 56
CURRENT
CITY YES NO
BUS NES
LICE NSE 1:1 1:1
INITIAL INSPECTION DATE
— . , . J
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the itern(s) that were noted during, our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations. of the fire regulations does not imply approval of such conditions or violation.
if you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
SNOHOMISH CO. Sei-ving Bt-iei; Ednionds 12425 Me4dian Ave S
,;FIRE, Mountlake Terrace, and Everett, WA 98208 -
54w*iff the Town of Woodway Phone (425) 551-1200
DIST Ru T www.FireDistrict].org Fax (425) 551-1272
LOCATION: 22800 76th Avenue W 6
BUSINESS NAME: part of Miller's Rental
MAILING 22800 76th Ave W B
ADDRESS: Edmonds
BUSINESS OWNER: Michlitch, JeffTey T.
EMERGENCY-1: Michlitch, Bob
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
F!RE
SYSTEMS:
. 4.257782057
PHONE.
98026
HOME PHONE: 4257422839
HOME PHONE: 2065425282
HOME PHONE: ..
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
I` FREQUENCY I STATION & SHIFF"�
366 20 C
SCHEDULED
DATE DUE 0 04/01/12
UFIR 1, 751 3514056
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE a E]
INITIAL INSPECTION DATE
07 1 /W
FE i
ANNUAL
HAZARDS FOUND AND LOCATIO'S CON171CATIONS
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D TE:
DATE:
3
VIOLATIONS
1 15
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES El NO
LETTER NEEDED [-] YES NO
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
-FIRE DEPARTMENT
Sq
LOCATION: 22800 76th �venue w 6
BUSINESS NAME: part of Milleras Rental
MAILING 22800 76th Ave V� 13
FIRE PREVENTION
SAFETY SURVEY..
PHONE: 4257782057
Edmonds 98026
BUSINESS OWNER:
Michlitch, Jeffrey T. HOMEPHONE: 4257422839
EMERGENCY 1: Michlitch, Bob (Dvr4G_'K) HOME PHONE: 2065425282
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED:,, T/ T\V\VX/
NAME OF INSPECTOR: &AA N V E-f
FIRE
SYSTEMS:
FREOUENCY
STATION& SHIFT
366
20 6
SCHEDULED
DATE DUE k
0401;/l 1
LIFIR O� 751
851,'4 056
ACTIVE
INITIAL INSPECTION DATE
zo
Z 0
ANNUAL.
4
HAZARDS FOUND AND LOCATIONS COMMUNICATIO
2
\A k
ENTER CODE ONLY ONCE 0
-j
VIOLATION CODE
2
.
3
3
4
4
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
\11OLATIONS
5
PRE-CITAnON
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
77;
4
IB
4
18
DATE:
DISPOSITION-
7
8
LETTER NEEDED E] YES E] NO
LETTER NEEDED Ell YES NO
FIRE DEPARTMENT COPY
Sn I
SNOHOMI�H CO. SM4'ng Briet: Edmonds
��,)FIR Mountlake Terrace and
the Town of Woodway
ST R - T www.FireDistrict]-org
LOCATION:
22800 76th Ave W
BUSINESS NAME: E.G. Mclean Co.
MAILING
ADDRESS: 22800 76th Ave W.,A
Edmonds
BUSINESS OWNER: Maclean, Edward
EMERGENCY-1: Maclean, Becky
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
FIRE PREVENTION
12425 Meridian Ave S
INSPECTION REPORi
Everett, WA 98208
0 EDMONDS
0 BRIER
Plione,(425)551-1200..-
__._0WOODWAY
-ITbONTLAKE
0 TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT"'
366
20 C
I
q15
-
PHONE:
SCHEDULED
DATEDUE � 07/01/'11
LIFIR " 575 756
98026
HOME PHONE: 2065422867
PREFIRE
HOME PHONE: 2064542570
"-CURRENT
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
zz
FE
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
L L kl::?,
4 ir-e
J
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
'PERSON
-CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3--
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
\1 LETTER NEEDED F] YES NO
LETTER NEEDED YES No
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
C1W.O'F EDMONDS SAFETY SURVEY
121 5� AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
4� 8 t
LOCATION: 22800 76th Avenue
BUSINESS NAME: part of Miller"s Rental
MAILING 22800 76th Ave W 6
ADDRESS: Edmonds
BUSINESS OWNER: Michlitch, Jeffrey T.
EMERGENCY-1: Michlitch, Bob
KEY ACCESS-2:
w B
PHONE: 4257782057
98026
HOMEPHONE: 4257422839
HOMEPHONE: 2065425282
HOME PHONE:
FREQUENCY
STATION & SHIFT-"'
366
20 A_
SCHEDULED
DATE DUE 11- 04/01/10
UFIR 0' 751
8514056
ACTIVE
PERSON CONTACTED: V &A� M (,,o, , INITIAL INSP�ECTION DATE
NAME OF INSPECTOR: (0 � 2'. ( � 0
FIRE FE t-
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 0
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
11st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
-3
MOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
\,LETTER NEEDED C] YES NO
�=ER NEEDED [] YES 0 NO
_t8
FIRE DEPARTMENT COPY